Plastic Surgery Center of NC Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

200001376220 Issued in NC

Legal business name

PLASTIC SURGERY CENTER OF NC INC

Practice address

2901 Maplewood Ave
Winston Salem, NC 27103-4009

Phone

(336) 765-8620

Fax

(336) 768-6236

NPI assigned

Oct 4, 2006

Organization subpart

Yes

Parent organization

PLASTIC SURGERY CENTER OF NC INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Anderson Fagg, MDNPI 1316905508

Title

President

Phone

(336) 765-8620

Specialties & licenses 3

Addresses

Part of

Plastic Surgery Center of NC Inc

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Anderson Fagg, MD

  • Plastic Surgery Physician
  • Winston-Salem, NC
  • NPI 1316905508
  NPD (past) Authorized official
• Gilson John Kingman, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Winston Salem, NC
  • NPI 1578504726
  NPD (past)
• Andrew Mark Schneider, M

  • Plastic Surgery Physician
  • Winston-Salem, NC
  • NPI 1235170333
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1013002138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034009",
            "telephone_number": "336-765-8620",
            "fax_number": "336-768-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034009",
            "telephone_number": "336-765-8620",
            "fax_number": "336-768-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF NC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLASTIC SURGERY CENTER OF NC INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "FAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "200001376220",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "200001355455",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "200001349669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrico E Piva, D.O.
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• Anne C Plate, PA-C
• Nicholas Platt, RBT
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• Karl Anthony Pleasant, PA-C
• Abigail Plemmons

• Plastic and Reconstructive Surgery Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.